Prevalence and factors associated with food insecurity among adults with HIV/AIDS treated at a referral hospital in Mozambique

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.35127

Keywords:

Food security; Social vulnerability; HIV.

Abstract

Food insecurity is a public health problem due to its effects on the health of people infected with HIV, despite the undeniable benefits of antiretroviral treatment. The study aimed to analyze the prevalence and factors associated with food insecurity in people living with HIV/AIDS. This is a cross-sectional study, conducted with 206 patients seen, in May-July 2022. Socioeconomic, demographic, lifestyle and food security data were collected. Food insecurity was assessed using the Brazilian Scale of Food Insecurity, and its associations through Pearson's chi-square test/Fisher's exact test and prevalence ratio. The prevalence of food insecurity (severe) was higher in males (78.9%), aged 18-30 years (88.9%), with no level of education (82.4%), unemployed (72.3%), married (73.1%), in households of 4 to 6 members (77, 3%) and living in inadequate housing conditions (70.2%), with stage II disease (78.4%), non-smokers (71.9%), regular consumers of alcoholic beverages (73.7%) and practicing physical activity (76.4%). Statistical associations were found between food insecurity and age group (p = 0.001), education (p = 0.001), employment status (p < 0.011), number of people per household (p < 0.028), being a smoker (p < 0.013) and disease stage (p < 0.017). The results suggest that investments in policies aimed at improving agricultural production, income, education, access to employment and reduction of poverty levels are necessary to increase the availability, improved access and use of food.

Author Biography

Audêncio Victor, Universidade de São Paulo; Ministério da Saúde de Moçambique

PhD student in Public Health (Epidemiology) at the University of São Paulo (2022) and Master in Public Health, concentration in Epidemiology from the Federal University of Bahia- Institute of Collective Health (ISC) -202020, Bachelor in Nutrition from the University Lúrio - Nampula Pole (2015). Currently he is part of the research group of the Maternal and Child Health Cohort (Maternal adiposity and adiposity of the offspring in the fetal, neonatal and infant periods: a prospective population-based study) and member of the evidence synthesis team for Covid-19(Rede-covida). He was Nutritionist at the Ministry of Health in Mozambique, at the Provincial Health Directorate of Zambezia in charge of Nutrition at Maganja da Costa District. He has participated in several studies on the prevalence of malnutrition in the country developed by SETSAN (Technical Secretariat of Food Security and Nutrition of Mozambique) under the tutelage of UNICEF and The World Food Programme (WFP). She has experience in conducting research, management, planning, monitoring & evaluation (M & E) of health programs with emphasis on nutrition in public health, clinical and food security, epidemiology and quantitative methods in health. I am very interested in quantitative methods applied to health, in order to contribute to global health, which I have been learning. I use SPSS, STATA and the programming language R. Keywords: Epidemiology, Cardiovascular diseases, Nutrition, Biostatistics, Public Health, Mathematical modeling, and Food environment

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Published

23/09/2022

How to Cite

VICTOR, A. .; VICTOR , C.; MAURÍCIO, B. da S. .; GOTINE, A. R. M. .; MAHOCHE, M.; XAVIER , S. P.; FERREIRA, A.; RONDO, P. . Prevalence and factors associated with food insecurity among adults with HIV/AIDS treated at a referral hospital in Mozambique. Research, Society and Development, [S. l.], v. 11, n. 12, p. e544111235127, 2022. DOI: 10.33448/rsd-v11i12.35127. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35127. Acesso em: 30 nov. 2024.

Issue

Section

Health Sciences